Select the best form of urinary diversion for a patient based on results of published outcomes studies.
Enumerate current indication and contraindications for various forms of urinary diversion.
Illustrate functional anatomy when creating a continence mechanism to ensure good outcomes with minimal side effects.
Recognize short- and long-term complications of urinary diversion.
Manage various complications that may arise from the different forms of urinary diversion.
This course will offer a detailed description of various forms of urinary diversions, including the ileal conduit, orthotopic neobladder, and a variety of continent cutaneous diversions. The discussion will discuss the techniques of reconstruction with video presentation of the orthotopic ileal neobladder and a right colon pouch with appendico-umbilicostomy. We will discuss appropriate patient selection, with a focus on management of common complications. Patient outcomes based on published literature and collective experience will be reviewed. We will focus on management of complications encountered with various forms of diversion, with step-by-step instructions on techniques such as injection of bulking agents for stomal incontinence to management of pouch stones, pouch revision, endoscopic and interventional management of ureteroileal strictures . This course is suited for the urologist who wishes to not only expand the repertoire of urinary diversions offered to adult and pediatric patients but also learn techniques of managing common complications. It will also be suited for nurse practitioners and physician’s assistants who care for patients undergoing urinary diversion.
Proposed time frame:
- Choosing the appropriate form of urinary diversion and outcomes- 30 min
- Techniques (including video presentation of orthotopic ileal neobladder and continent cutaneous pouch construction). 30 min
- Management of complications- medical and step-by-step surgical techniques.- 60 min